Dr. Tom Dentistry Elburn, PC

NPI #1932618519 in Elburn, Illinois

Provider Information

NPI Number: 1932618519
Entity Type: Organization
Organization Name: Dr. Tom Dentistry Elburn, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 26, 2017
Last Updated: Sep 26, 2017

Practice Location

Address: 400 N MAIN ST
City: Elburn
State: Illinois
ZIP Code: 60119-9162
Phone: (630) 365-9421

Authorized Official

Name: PATRICIA A MILLS
Title: OFFICE MANAGER
Phone: (630) 365-9421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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